Active NPI
Ron E Cooper, M.D.
- Surgery Physician
- San Ramon, CA
National Provider Identifier
1407941933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G62441
- Practice address
- 1081 Market Place
Suite # 600
San Ramon, CA 94583 - Phone
- (925) 725-4228
- NPI assigned
- Oct 3, 2006
- Last updated
- May 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G62441 | CA | Primary |
Addresses
Primary practice location
1081 Market Place
Suite # 600
San Ramon, CA 94583
Mailing address
1081 Market Place
Suite # 600
San Ramon, CA 94583
Phone (925) 725-4228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G62441 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62441 | CA | MD | Surgery Physician |
| 62441 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Past | Accepting new patients |
Interoperability endpoints
- rcooper11836@ehr.johnmuirhealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1407941933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 MARKET PLACE",
"address_2": "SUITE # 600",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94583",
"telephone_number": "925-725-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 MARKET PLACE",
"address_2": "SUITE # 600",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94583",
"telephone_number": "925-725-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "RON",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G62441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G62441",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.